Facebook · 1 month ago
Provider Enrollment Analyst - Palmetto GBA
Columbia, South Carolina
Full-time
Onsite
Entry, Mid Level
2+ years expPalmetto GBA, a subsidiary of BlueCross BlueShield of South Carolina, is seeking a Provider Enrollment Analyst. The role involves reviewing and processing provider enrollment applications, ensuring data accuracy, and providing quality service to internal and external customers.
Computer Software
Responsibilities
May perform any or all of the following in the enrollment of providers: determines the acceptability of provider enrollment applications (which may be used for initial full application, reenrollment, reactivation, change of information); provides in-depth review and verification/validation of provider data; verifies provider data by use of information databases and various organizations/agencies to ensure authenticity; sets up/tests EFT accounts. Processes/enters/updates provider data information/applications into appropriate enrollment database used in evaluating/tracking the processing of the application and/or updating of provider directories
Provides quality service and communicates effectively with external/internal customers in response to inquiries (correspondence, telephone)
Obtains information from internal department, providers, government and/or private agencies, etc. to resolve discrepancies/problems
Supplies enrollment applications and general information on the enrollment process to interested enrollees
Contributes to and participates on special projects related to provider files
Assists technical support staff with testing system changes related to provider files
Assists with process improvements related to Provider Enrollment
Assists with provider education and provider services training
Qualification
Required
Bachelor's degree equivalency: Four (4) years job-related work experience or associate's and two (2) years job related work experience
Working knowledge of word processing, spreadsheet, and database software
Good judgment skills required
Effective customer service and organizational skills required
Demonstrated verbal and written communication skills
Demonstrated proficiency in spelling, punctuation, and grammar skills
Basic business math proficiency required
Analytical or critical thinking skills required
Ability to handle confidential or sensitive information with discretion
Microsoft Office
Preferred
Bachelor's degree-in Business Administration or Health Administration
In-depth knowledge of provider certification process, claims processing operations/systems, and pricing methodology and discount programs
In-depth knowledge of Medicare program instructions/regulations related to provider enrollment/issues
Effective presentation skills
Benefits
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
Company
The Facebook company is now Meta. Meta builds technologies that help people connect, find communities, and grow businesses.
10001+ employees
H1B Sponsorship
Facebook has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (942)
2021 (5811)
2020 (4476)
Funding
Current Stage
Late StageLeadership Team
Arunava Chatterjee
Executive Director of Ghost Black Operations & CEO & CTO
Shubhra Gupta
CEO
Recent News
Business Live
2025-11-03
2025-11-01
Company data provided by crunchbase